Provider Demographics
NPI:1982018339
Name:SENA, KIANA RAE (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KIANA
Middle Name:RAE
Last Name:SENA
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MS
Other - First Name:KIANA
Other - Middle Name:RAE
Other - Last Name:LARSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1615 E 17TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-8529
Mailing Address - Country:US
Mailing Address - Phone:714-474-3543
Mailing Address - Fax:
Practice Address - Street 1:1615 E 17TH ST STE 100
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-8529
Practice Address - Country:US
Practice Address - Phone:714-474-3543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-13
Last Update Date:2021-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
CA117251106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor